Looking Ahead

OUR 2029 GOALS

Starlight Canada’s long-term goals aim to transform the experience of childhood illness across Canada by providing distraction-based mental health support in two key areas: within hospitals and through ongoing outpatient care at home.

→ Reach 1,200,000+ program uses annually, ensuring consistent access to joy, distraction, and comfort nationwide

→ Reduce the number of hospitalized children experiencing significant anxiety or emotional distress by 25%, through increased access to play-based coping tools

→ Provide year-round emotional support to 2,500+ Starlight families (a 25% increase) in our outpatient programs, ensuring no child feels alone in their medical journey

→ Cut emotional distress and family isolation by one-third among families participating in our outpatient Wish Programs


OUTCOMES DEFINITION

These goals are grounded in both internal program metrics and external evidence on the emotional effects of illness and hospitalization on children and families. Each target will be evaluated using a mix of annual surveys, hospital reporting, and self-reported family impact assessments.

Measurement Framework

Program Usage (1,200,000+): Measured by cumulative hospital and outpatient program distribution logs, including in-hospital uses (e.g., Fun Centers, VR, Comfort Kits) and outpatient Wish program participation, with a baseline of around 1,000,000 program uses in 2024

Hospital-Based Emotional Distress Reduction (25%): Target based on published research showing that up to 80% of hospitalized children experience significant emotional distress due to unfamiliar settings, painful procedures, and isolation¹. Starlight’s play-based programs—such as Gaming Systems and Comfort Kits—are designed to reduce these stressors.

Internal survey data already shows 95% of hospital staff report improved patient behaviour, and 38% report reduced need for sedation when Starlight Gaming Systems are used

Ongoing progress will be tracked through annual surveys to hospital staff and Child Life teams, as well as analysis of sedation proxy data when available

Outpatient Family Reach (2,500+): Measured through internal registration tracking of Starlight families enrolled in outpatient Wish programs, with year-over-year comparison against the 2,000-family baseline in 2024

Reduction in Family Isolation & Distress (33%): Justified by 2024 survey results indicating:

92% of families say our programs support their child’s mental health2

90% say it supports the mental health of the entire family2

100% of Great Escapes participants report strengthened family connection

This target will be monitored using annual impact surveys with repeat families to track changes over time, and by expanding post-program questionnaires assessing emotional outcomes4-7


¹ Díaz-Rodríguez, Mercedes, et al. “The Effect of Play on Pain and Anxiety in Children in the Field of Nursing: A Systematic Review.” Journal of Pediatric Nursing, vol. 61, no. 4, 2021, pp. 15–22. doi:10.1016/j.pedn.2021.02.022.
This data was collected in early 2025 from all Starlight families registered outpatient programs to assess program impact and performance in 2024. While the survey was distributed to all registered families, the results reflect responses from 498 participants.
This data was gathered in July 2024 from a survey distributed to all Great Escapes Wishes family participants from the last 12 months.
4 Melissa K. Cousino, Rebecca A. Hazen, Parenting Stress Among Caregivers of Children With Chronic Illness: A Systematic Review, Journal of Pediatric Psychology, Volume 38, Issue 8, September 2013, Pages 809–828, doi.org/10.1093/jpepsy/jst049.
5 Knafl, K., et al. “Family-Centered Care and Family Functioning in Children with Chronic Conditions.” Family Systems & Health, 35(4), 2017, pp. 375–386.
6 Wilkins KL, Woodgate RL. A review of qualitative research on the childhood cancer experience from the perspective of siblings: a need to give them a voice. J Pediatr Oncol Nurs. 2005 Nov-Dec;22(6):305-19. doi: 10.1177/1043454205278035. PMID: 16216893.
7 Canadian Mental Health Association, Ontario. The Relationship Between Mental Health, Mental Illness and Chronic Physical Conditions. CMHA Ontario, 2013, https://ontario.cmha.ca/documents/the-relationship-between-mental-health-mental-illness-and-chronic-physical-conditions/.